My 6 year old daughter recently had a CT scan for possible internal trauma after bike fall. She didn't have any internal injuries, but the CT Scan showed a lung nodule, which required a second CT Scan of her chest. The 2nd CT scan revealed a 3.7mm lobulated suprahilar mass, an 11mm nodule in the infrahilar region, and 2 other 5mm nodules on in the middle and lower lobes, and a couple of enlarged lymph nodes. There was also some septal thickening and multiple subpleural blebs. All of these are non-calcified and all are in the right lung. Her left lung didn't show any abnormalities. She had non been showing any symptoms of any kind, other than she has Asthma, and has occasional coughing and wheezing from that. After being submitted to the hospital under the care of an oncologist, it was decided that maybe this was due to infection, and she was tested for many. The only one to come back positive for anything was an antibody for histoplasmosis, but could only determine that she had been exposed to it at some time, and all other results were negative for active infection. Her TB test was also negative. We do live in Illinois. She is scheduled for a follow up CT at the 3 month mark to see if there is any growth. My question is....since this is a child and it is hard to find information regarding children appearing with these findings....could an asymptomatic histo infection cause all of these findings...especially since it's so unilateral? How long would it take for the nodules to calcify after being exposed? How long will lymph nodes stay enlarged after infection? She had pneuomina a little over a year ago which required 4 days in the hospital. Her CXR did not show anything other than the pneumonia...is it possible that her pneumonia was from a histo infection? Any other possibilities.....it's so worriesome.
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